Which specialist treats Paget disease of the breast?

Paget disease affects the nipple or areola and can occur with abnormal cells deeper in the breast. A breast surgeon coordinates examination, imaging and tissue diagnosis, then discusses whether breast-conserving surgery or mastectomy is appropriate. A pathologist examines biopsy tissue; a radiologist interprets breast imaging; medical and radiation oncologists advise about treatments after surgery when indicated.

Bring reports from mammograms, ultrasound scans or biopsies, a list of medicines, and details about nipple or skin changes. Ask which tests are still needed, whether the underlying breast tissue has been assessed, and how the team will coordinate surgery and any additional treatment. Breast skin changes and nipple discharge can help describe the pattern of symptoms.

Arrange medical assessment for a persistent nipple rash, crusting, retraction, discharge or a new breast change. Seek urgent help for heavy bleeding, rapidly increasing swelling, severe pain, fever with redness, or feeling faint. These signs need prompt assessment but do not by themselves establish the cause.

Who will coordinate my care? What did the biopsy show? Is there disease beneath the nipple? Which operation is being considered, such as lumpectomy or mastectomy? Could radiation or medicine be part of the plan, and how will treatment affect the nipple and breast appearance?